Free Florida Power of Attorney For Care Of Minor Child Template
Florida Power of Attorney For Care Of Minor Child
I. Introduction
This Power of Attorney for Care of Minor Child ("POA") is made and executed on this [Date] by [Your Name], residing at [Your Address], herein referred to as the "Parent," in the State of Florida.
II. Purpose
The purpose of this Power of Attorney is to designate and authorize an Attorney-in-Fact to act on behalf of the Parent in matters concerning the care, custody, and management of the Parent's minor child(ren) in the event of the Parent's illness, incapacity, or unavailability.
III. Appointment of Attorney-in-Fact
The Parent hereby appoints [Attorney-in-Fact's Name], residing at [Address], as the Attorney-in-Fact ("Agent") to act on behalf of the Parent regarding the care and custody of the minor child(ren) named below.
IV. Details of Minor Child(ren)
The minor child(ren) subject to this Power of Attorney are:
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Child's Name: Emily Grace Johnson
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Date of Birth: June 12, 2050
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Relationship to Parent: Daughter
V. Authority Granted to Attorney-in-Fact
The Parent grants the following authority to the Attorney-in-Fact:
a. To take physical custody of the minor child(ren) named above.
b. To make decisions concerning the health, education, and welfare of the minor child(ren), including but not limited to medical treatment, educational decisions, and extracurricular activities.
c. To sign any documents necessary to enroll the minor child(ren) in school or other educational programs.
d. To provide consent for medical, dental, or psychological treatment for the minor child(ren), including emergency medical treatment.
e. To access the minor child(ren)'s medical records and communicate with healthcare providers on their behalf.
f. To manage the minor child(ren)'s financial affairs to the extent permitted by law, including accessing bank accounts, applying for benefits, and signing documents on behalf of the minor child(ren).
g. To make decisions regarding the minor child(ren)'s living arrangements, including temporary residence with the Attorney-in-Fact or other suitable caregivers.
VI. Limitations and Conditions
The authority granted to the Attorney-in-Fact under this Power of Attorney is subject to the following limitations and conditions:
a. This Power of Attorney shall only become effective upon the Parent's illness, as confirmed by the written opinion of two licensed physicians specializing in the relevant medical field, concurring that the Parent is unable to make decisions regarding their financial affairs or healthcare.
b. The Attorney-in-Fact shall act in the best interests of the minor child(ren) at all times and shall consider the preferences of the Parent to the extent feasible.
c. The Parent reserves the right to revoke or amend this Power of Attorney at any time, provided that the Parent is of sound mind and capable of making such decisions.
d. This Power of Attorney shall expire upon the Parent's recovery from illness or incapacity unless earlier revoked by the Parent.
e. The Attorney-in-Fact shall not have authority to consent to the adoption of the minor child(ren) or to terminate parental rights.
VII. Revocation
This Power of Attorney may be revoked by the Parent at any time by providing written notice to the Attorney-in-Fact and any relevant third parties. A revocation shall be effective upon receipt of the written notice.
Principal:
[Your Name]
Agent:
[Attorney-in-Fact's Name]
WITNESS ACKNOWLEDGEMENT
We, the undersigned witnesses, certify that [Your Name] and [Attorney-in-Fact's Name] have signed this Florida Power of Attorney For Care Of Minor Child in our presence, and we believe them to be of sound mind and acting of their own free will.
Witness 1:
[Witness 1 full name]
[Date]
Witness 2:
[Witness 2 full name]
[Date]
NOTARY ACKNOWLEDGEMENT
On this day of in the year , before me, a Notary Public in and for the State of Florida, personally appeared [Your Name], known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged that they executed the same for the purposes therein contained.
Witness my hand and official seal.
[Notary Public's Name]
My Commission Expires:
